Two people are still in the hospital after a truck collided with a school bus Monday morning.

A spokesperson for BryanLGH West said both Jeff Hall, 50, of Hickman and Ronnie Aden, 67, of Cortland, are in serious condition.

The Lancaster County Sheriff's office said Hall, who was driving a pickup, failed to yield at the intersection of 25th Street and Gage Road in Southern Lancaster County.

The collision happened shortly after 8 a.m. Monday.

The Lancaster County Sheriff's Office said that emergency crews, including Lincoln, Hallam, Bennett, Beatrice, Adams, Claytonia and others responded - evaluating, treating and transporting injured students.

Hall was driving a white pickup south bound, while the Norris #7 school bus was traveling east on Gage road. The pickup truck collided with the school bus, tipping the bus over on its left side. Aden was the bus driver who helped all the students out of the bus. Hall and Aden were taken to BryanLGH West with serious injuries. Authorities are still investigating the accident.

Ed Mlniek, an emergency room doctor for BryanLGH West said 49 people were involved. Of those, 38 were transported to BryanLGH East and West, as well as St. Elizabeth Regional Medical Center.

"When you have an incident involving potentially 49 patients, this is a great test of our system and we activated our local disaster plan within the city itself and it worked very well," said Mlniek.

Mlneik said surgeons who weren't even on call showed up to offer help Monday.

Norris School district serves Cortland, Firth, Hickman, Holland Panama, Princeton, Roca and Hallam.